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14 Cards in this Set
- Front
- Back
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what is key to remember about sx in somatoform pts?
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Symptoms are NOT intentionally produced
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what is necessary to have Somatization Disorder?
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During course of disorder must have had:
Pain (4 symptoms from different body regions) GI (2 symptoms) Sexual (1 symptom) Pseudoneurologic (1 symptom) |
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Preoccupation with fears of having a serious disease based on misinterpretation of bodily symptoms
Persists despite appropriate medical evaluation and reassurance |
Hypochondriasis
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The presence of one or more neurologic symptoms that are unexplained by any medical or neurologic disorder (i.e., motor or sensory functioning)
Psychological factors judged to be associated bc the initiation or exacerbation of sxs is preceded by conflict or stressor Symptom is not intentionally produced or feigned |
Conversion disorder
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woman witness her daughter die a painful death and can now no longer speak. what does she have
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Conversion disorder
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what is the most important management factor for conversion disorder
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establish a relationship of trust between physician and patient
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Significant pain complaints not fully explained by a medical condition
Psychological factors play a major role in the onset, severity, or maintenance of the pain |
Pain Disorder
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person walks in and they are completely obsessed with how big their nose is...you look at it and it appears normal..
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Body Dysmorphic Disorder
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single woman in her 20s who presents to the plastic surgeon asking for a revision on a rhinoplasty previously performed (and often already revised)
She will be obsessed (frequently check the mirror) with the perceived defect She will be extremely self conscious about it (staying home, covering up) and this will significantly interfere with functioning |
Body Dysmorphic Disorder
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Factitious Disorder and Malingering differ from the somatoform disorders in that the symptoms here are
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willingly and knowingly induced by the patient
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A disorder in which signs and symptoms of physical and mental disorders are consciously produced by the patient
Often the motivation is to assume the “sick role” (i.e. be admitted to the hospital and have people care for you) |
Factitious Disorder (Munchausen Syndrome)
If the signs are induced in another person, the disorder is called “factitious disorder by proxy” They know they are doing it but don’t know why they are doing it |
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how is malingering different from factitous disorder?
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Malingering differs from factitious disorder in that the motivation is some form of secondary gain
(qualify for disability, free pain medications, money from a lawsuit, get out of work, etc) They know they are doing it and they know why they are doing it |
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flip for chart on somatization disorders, malingering, etc
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